Labor of Love - Building 3

A resident's most recent assessment had not been completed within the required annual timeframe.

No carbon monoxide monitor was present in the home, which is required near fossil-fuel burning devices.

A resident's prescribed medication was not included on the September medication administration record.

A preadmission screening form was not completed for Resident #1 prior to their admission.

Two residents in a third-floor bedroom lacked access to an operable bedside light source; one lamp was unplugged and a wall light was inoperable.

The facility failed to conduct an annual fire safety inspection and fire drill by a fire safety expert, as the last supervised drill was over one year prior.

Staff members administering prescription medications had not completed the required medication administration training.

The home failed to document the implementation of procedures for the safe storage and use of medical equipment/medications.

The last fire drill conducted during sleeping hours was on 12/31/22, failing the requirement for a drill every 6 months.

Fire drills are routinely held during the last week of the month rather than on different days and times.

A locked deadbolt blocked the egress from the home's kitchen exit door.

The facility's written emergency procedures had not been submitted to the local emergency management agency.

An agent of the Department requested access to records, but staff refused to provide access until several days later.

The home held resident funds exceeding $200 for more than two consecutive months without offering assistance in establishing an interest-bearing account.

One bedside lamp in a second-floor bedroom was not operable.

The home did not have the required influenza awareness poster displayed in a public place.

The second-floor emergency exit was obstructed by a ladder, a box, a trash bag, and other debris.